Contents
Matthew W. Martinez (Source: Cardiology Clinics)
Source: Cardiology Clinics - November 9, 2022 Category: Cardiology Source Type: research
Forthcoming Issues
Nuclear Cardiology (Source: Cardiology Clinics)
Source: Cardiology Clinics - November 9, 2022 Category: Cardiology Source Type: research
Preparticipation Cardiac Evaluation from the Pediatric Perspective
This article is designed to summarize the current thoughts on the PPE with a specific slant toward the pediatric and early adolescent evaluation and how these evaluations may differ from those in adults. (Source: Cardiology Clinics)
Source: Cardiology Clinics - October 20, 2022 Category: Cardiology Authors: Andrew M. Reittinger, Lanier B. Jackson, Peter N. Dean Source Type: research
The International Criteria for Electrocardiogram Interpretation in Athletes
Preparticipation cardiovascular screening (PPCS) in young athletes is performed to detect conditions associated with sudden cardiac death. Many medical societies and sports governing bodies support the addition of a 12-lead electrocardiogram (ECG) to the history and physical to improve PPCS sensitivity. The current standard for ECG interpretation in athletes, the International Criteria, was developed to distinguish physiologic from pathologic ECG findings in athletes. Although application of the International Criteria has reduced the PPCS false-positive rate, interpretative challenges and potential areas of improvement rem...
Source: Cardiology Clinics - October 20, 2022 Category: Cardiology Authors: Bradley J. Petek, Jonathan A. Drezner, Timothy W. Churchill Source Type: research
Cardiopulmonary Exercise Testing Interpretation in Athletes
The noninvasive assessment of oxygen consumption, carbon dioxide production, and ventilation during a cardiopulmonary exercise test (CPET) provides insight into the cardiovascular, pulmonary, and metabolic system ’s ability to respond to exercise. Exercise physiology has been shown to be distinct for competitive athletes and highly active persons (CAHAPs), thus creating more nuanced interpretations of CPET parameters. CPET in CAHAP is an important test that can be used for both diagnosis (provoking symptom s during a truly maximal test) and performance. (Source: Cardiology Clinics)
Source: Cardiology Clinics - October 20, 2022 Category: Cardiology Authors: Mustafa Husaini, Michael S. Emery Source Type: research
Hypertension in Athletes
Hypertension is a leading cardiovascular risk factor in athletes. Sport-specific behaviors including nonsteroidal anti-inflammatory use, stimulant use, and unhealthy diets may promote hypertension among athletes. Strength-trained athletes may be more susceptible to hypertension than endurance-trained athletes, although this may, in part, be due to body size differences and the more potent antihypertensive effects of aerobic exercise. With confirmed hypertension, young athletes require secondary hypertension evaluation while older athletes require full cardiovascular risk stratification. Calcium channel blockers and renin-a...
Source: Cardiology Clinics - October 18, 2022 Category: Cardiology Authors: Jason V. Tso, Jonathan H. Kim Source Type: research
The Acute Impact of Endurance Exercise on Right Ventricular Structure and Function
There have been many studies since the late 1980s investigating the effect of endurance exercise on the left ventricle. More recently, attention has shifted to the right heart, with suggestions that endurance exercise may have a detrimental effect on the right ventricle. This systematic review and meta-analysis summarizes and critiques 26 studies, including 649 athletes, examining the acute impact of endurance exercise on the right ventricle. We also present a subanalysis contrasting ultraendurance with endurance exercise. Finally, we identify areas for future research, such as the influence of sex, ethnicity, and age. (So...
Source: Cardiology Clinics - October 18, 2022 Category: Cardiology Authors: Tristan Ramcharan, Jamie Edwards, Jamie O ’Driscoll, Michael Papadakis Source Type: research
Devices and Athletics
Until recently, implantable cardioverter defibrillators (ICDs) were considered a contraindication to competitive athletics. Recent prospective observational registry data in athletes with ICDs who participated in sports against the societal recommendations at the time have demonstrated the safety of sports participation. While athletes did receive both appropriate and inappropriate shocks, these were not more frequent during sports participation than other activity, and there were no sports-related deaths or need for external resuscitation in the 440 athlete cohort (median followup 44 months). Optimization of medical thera...
Source: Cardiology Clinics - October 18, 2022 Category: Cardiology Authors: Bradley Kay, Rachel Lampert Source Type: research
Hemodynamic Assessment in Heart Failure with Preserved Ejection Fraction
This article reviews current understanding of the best practices in the performance and interpretation of hemodynamic assessment, relates important pathophysiologic concepts to clinical care, and discusses current and evidence-based applications of hemodynamics in HFpEF. (Source: Cardiology Clinics)
Source: Cardiology Clinics - October 7, 2022 Category: Cardiology Authors: Kazunori Omote, Steven Hsu, Barry A. Borlaug Source Type: research
Epidemiology, Diagnosis, Pathophysiology, and Initial Approach to Heart Failure with Preserved Ejection Fraction
Heart failure with preserved ejection fraction (HFpEF) is common and increasing in prevalence. Despite this, HFpEF is challenging to diagnose due in part to its shared clinical features with other comorbid conditions. HFpEF is now understood as a systemic syndrome, often driven by pro-inflammatory comorbidities, rather than solely a cardiac disease. This review summarizes the epidemiology, diagnostic criteria, and pathophysiology of HFpEF and proposes a clinical approach for patients suspected of having or diagnosed with HFpEF. (Source: Cardiology Clinics)
Source: Cardiology Clinics - October 7, 2022 Category: Cardiology Authors: Theresa Anderson, Scott L. Hummel, Matthew C. Konerman Source Type: research
Heart Failure with Preserved Ejection Fraction: The Future Is Now
The epidemic of heart failure with preserved ejection fraction (HFpEF) has compelled both of us since the start of our training. There are few greater unmet needs in medicine today. Millions of patients with HFpEF have quality of life on par with severe cancer or disabling rheumatoid arthritis and suffer frequent hospitalizations and shortened lifespan. Until recently, this large and growing problem appeared unsolvable, and even incremental improvements were difficult to achieve. (Source: Cardiology Clinics)
Source: Cardiology Clinics - October 7, 2022 Category: Cardiology Authors: Matthew C. Konerman, Scott L. Hummel Tags: Preface Source Type: research
Heart Failure with Preserved Ejection Fraction
CARDIOLOGY CLINICS (Source: Cardiology Clinics)
Source: Cardiology Clinics - October 7, 2022 Category: Cardiology Authors: Matthew C. Konerman, Scott L. Hummel Source Type: research
Copyright
ELSEVIER (Source: Cardiology Clinics)
Source: Cardiology Clinics - October 7, 2022 Category: Cardiology Source Type: research
Contributors
JAMIL A. ABOULHOSN, MD, FACC, FSCAI (Source: Cardiology Clinics)
Source: Cardiology Clinics - October 7, 2022 Category: Cardiology Source Type: research
Contents
Matthew C. Konerman and Scott L. Hummel (Source: Cardiology Clinics)
Source: Cardiology Clinics - October 7, 2022 Category: Cardiology Source Type: research
